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Case report: acute isolated cilioretinal artery occlusion secondary to percutaneous coronary intervention

Bangtao Yao1, Zhaoyang Dong2, Yuanfeng Xue3

  • 1Department of Ophthalmology, Nanjing Lishui People's Hospital, Zhongda Hospital Lishui branch, Southeast University, Nanjing, Jiangsu Province, China.

Journal of Cardiothoracic Surgery
|October 18, 2023
PubMed

Insights

A rare case of cilioretinal artery occlusion (CLRAO) occurred after coronary intervention. Early Salvia miltiorrhiza treatment showed promise for this vision-threatening complication.

Area of Science:

  • Ophthalmology
  • Cardiology
  • Interventional Cardiology

Background:

  • Coronary artery disease (CAD) necessitates percutaneous coronary intervention (PCI).
  • Complicated PCI can lead to rare ocular complications.
  • Cilioretinal artery occlusion (CLRAO) is a potential adverse event post-PCI.

Observation:

  • A 68-year-old male presented with acute vision loss in the right eye post-PCI.
  • Diagnosis confirmed as acute isolated CLRAO.
  • Treatment involved Salvia miltiorrhiza injections.

Findings:

  • This report details an acute isolated CLRAO secondary to therapeutic PCI.
  • Salvia miltiorrhiza was used for treatment.
  • Untreated CLRAO following PCI has a poor visual prognosis.

Implications:

  • Highlights the importance of recognizing CLRAO as a complication of PCI.
  • Emphasizes the need for suitable management and preventative strategies.
  • Informs interventional cardiologists about potential ocular risks.
Abstract

Keywords:
BCVACilioretinal artery occlusionCoronary artery diseasePercutaneous coronary interventionSalvia miltiorrhiza

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